An emphysematic patient is sent to the ED by his PCP. The patient has obvious increased WOB and complains of dyspnea. ABGs are drawn on RA and the ED physician states the patient is still ventilating adequately at this time. Which of the following ABG values indicates that the patient has an adequate ventilatory capacity?

A patient with chronic bronchitis has had chronic hypoxemia and respiratory acidosis for many years. During a recent acute exacerbation, he is noted to also have distended neck veins (JVD), cardiomegaly, liver enlargement and tenderness and pedal edema. This complication is best described as:

Asthma patients often experience increasing nighttime symtpoms, cough and frequent awakening. Which of the following is believed to be responsible?

Jasmine is a 10 year old patient scheduled for a visit to the pulmonary clinic. She experiences chest tightness requiring her to us a SABA every day. She is awakened with a cough once or twice a week. Her FEV1 between exacerbations is 72% of her predicted normal. Which of the following best describes her asthma? (Use your chart)

During an acute asthmatic exacerbation, when the patient becomes fatigued, how are the ABGs affected?

There are two asthmatic patients in the ED with acute exacerbations: Which of the two is in the worst condition?Patient “A” is breathing 36 times per minute, wheezing loudly and has the following ABG results: pH = 7.48, PaCO2 = 31 mmHg, PaO2 = 54 mmHg, HCO3 = 24 mEq/LPatient “B” is breathing 28 times per minute, minimally wheezing to diminished breath sounds, somnolent and has the follwowing ABG results: pH = 7.38, PaCO2 = 42 mmHg, PaO2 = 54 mmHg, HCO3 = 26 mEq/L

A 48 year old female diagnosed with intrinsic asthma. She presents to the asthma clinic for an initial asthma evaluation. Your assessment and history reveals that she has significant daily symptoms, awakens frequently at night with coughing and chest tightness. She is presently wheezing and use of accessory muscles. She uses a rescue inhaler at least twice daily and has begun a low-dose corticosteroid inhaler. Her PEFR variability is 40%. Which of the following would you recommend for treatment of her asthma?

BONUS: According to the NAEPP guidelines, asthma evaluation should include: (select all that apply)

In which of the following TB stages can they actively infect others?

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